ICON HONOREE - Virginia Business

Virginia Business Icon Honors Honoree Form

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Name(Required)

First Last

Phonetic spelling of your name (for announcing on stage during awards ceremony) *For example: “Jay-Cubs” for “Jacobs”(Required)

Title (or most recent title if retired)(Required)

Your Company (former company if retired)(Required)

Your Email(Required)

Are you retired?(Required)

Yes

What was your greatest professional accomplishment?(Required)

What do you want your legacy to be?(Required)

What community group and/or cause are you most passionate about and why?(Required)

Birthdate (mm/dd/yyyy)*(Required)

Age requirement is strictly for application process only and will not be promoted.

Please include a brief resume/professional biographical info, including key job titles, organizations and years worked.(Required)

Max. file size: 10 MB.

Accepted file types: .PDF, .DOC You can also email your resume to [email protected].

Please upload a professional headshot for use in the awards publication and at the event.(Required)

Max. file size: 10 MB.

We need photos to be at least 1MB in size and in the jpg or png file format. You can also email your photos to [email protected] Accepted file types: jpg, png, Max. file size: 8 MB.

Please upload two images that are important to the honoree for use in the awards publication. We need photos to be at least 1MB in size and in the jpg or png file format. You can also email your photos to [email protected]. Accepted file types: jpg, png, Max. file size: 8 MB.(Required)

Max. file size: 8 MB.

Second Action Shot Photo Upload(Required)

Max. file size: 8 MB.